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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629254
Report Date: 02/06/2023
Date Signed: 02/06/2023 12:44:53 PM

Document Has Been Signed on 02/06/2023 12:44 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ALAWAD, MOHAMED FAMILY CHILD CAREFACILITY NUMBER:
376629254
ADMINISTRATOR:MOHAMED ALAWADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 317-3473
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/06/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Mohamed AlawadTIME COMPLETED:
12:15 PM
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On February 6th, 2023 at 11:30 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced Case Management inspection with Licensee Mohamed Alawad. The inspection’s purpose is to inspect an additional room intended to be used for daycare children and to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. This facility is a two (2) bedrooms, one (1) bathroom house. Present in the home was only the Licensee. Language Link Operator 14018 provided Arabic translation services.

The following areas are currently used for childcare: the living room, the bathroom, one bedroom and the fenced backyard.

On 02/06/2023, Licensee submitted a verbal application to add a previously off limit room, a bedroom, to be used for daycare children. During this inspection, LPA inspected this proposed room and found it to satisfy regulatory standards.

No deficiencies observed. The bedroom is approved for use, beginning today 02/06/2023.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Licensee Mohamed Alawad.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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